Your client has anaphylaxis listed as a penicillin allergy. Which antibiotic would be safe for your client to receive?

cephalexin (Keflex).

cefaclor (Ceclor).

piperacillin/tazobactam (Zosyn).

levofloxacin (Levaquin).

Answer and Explanation

The Correct Answer is D

Levofloxacin (Levaquin) is a fluoroquinolone antibiotic that is not structurally related to penicillin and has a very low risk of cross-reactivity with penicillin.

Levofloxacin can be safely used in patients with penicillin allergy unless they have a history of hypersensitivity to other fluoroquinolones.

Choice A is wrong because cephalexin (Keflex) is a first-generation cephalosporin that has a similar side chain to some penicillins and may cause cross-reactivity in penicillin-allergic patients. The risk of cross-reactivity is higher for first- and second-generation cephalosporins than for third- and fourth-generation cephalosporins.

Choice B is wrong because cefaclor (Ceclor) is a second-generation cep

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Correct Answer is B

Explanation

According to the Addiction Nursing Competencies, antisocial personality traits are one of the risk factors for developing addictive behaviors.

Antisocial personality disorder is characterized by a disregard for the rights and feelings of others, impulsivity, deceitfulness, and lack of remorse.

Choice A is wrong because high self-esteem is not associated with addictive behaviors. On the contrary, low self-esteem, passivity, and inability to relax or defer gratification are some of the personality factors that can predispose a person to substance use disorders.

Choice C is wrong because good communication skills are not related to addictive

behaviors. In fact, poor communication skills, social isolation, and lack of support are some of the psychosocial factors that can contribute to substance use disorders.

Choice D is wrong because aggressive behaviors are not a specific indicator of addictive behaviors.

Aggression can be a result of various factors, such as frustration, anger, stress, or mental illness. Aggression can also be influenced by the type and amount of substance used.

A. Decreased flexibility. B. Pain when standing. C. Swelling of the ankles. D. Urinary incontinence.

Correct Answer is A

Explanation

Decreased flexibility is a normal age- related change that occurs in the elderly due to loss of elasticity in the ligaments and tendons.
Some possible explanations for the other choices are:
Choice B. Pain when standing. Pain when standing is not a normal finding and could indicate arthritis, osteoporosis, or injury.
Choice C. Swelling of the ankles. Swelling of the ankles is not a normal finding and could indicate heart failure, kidney disease, or venous insufficiency.
Choice D. Urinary incontinence. Urinary incontinence is not a normal finding and could indicate urinary tract infection, prostate enlargement, or neurological impairment.

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Your client has anaphylaxis listed as a penicillin allergy. Which antibiotic would be safe for your client to receive?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When evaluating a client for a tendency toward addictive behaviors, the nurse would expect which findings?

Correct Answer is B

Explanation

Which assessment finding would be considered normal in an elderly client?

Correct Answer is A

Explanation

Which nursing action is the priority intervention for a client diagnosed with total urinary incontinence?

A nurse is attempting to use non-pharmacological treatment for pain control. Which treatment could the nurse delegate to the UAP?

A middle-aged adult client with nausea and vomiting for three days presents to the emergency room. Which findings should the nurse expect to assess in a client diagnosed with dehydration? Select all that apply.

A client newly diagnosed with schizophrenia asks the nurse “Will I pass this disease on to my children?” What is the best response?

Which action is essential when assessing for drainage in a client with a large abdominal wound?

An 82-year-old client was admitted to the hospital on isolation precautions 3 days ago for C diff. The client begins to demonstrate irritability, confusion, and paranoia. Which of the following is the best reason for the assessment findings?

Which older adult on bed rest is most at risk to develop skin breakdown? A client who:.

When a client has a nursing diagnosis of Ineffective Coping, which nursing interventions would best meet the desired outcome of demonstrating appropriate coping strategies? (Select all that apply).